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Compliance with the HIPAA Medical Privacy Rule

Description: As of April 14, 2003, most health care providers (including doctors and hospitals) and health plans are required to comply with the new Privacy Rule mandated by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), and must comply with national standards to protect individually identifiable health information. The HIPAA Privacy Rule creates a federal floor of privacy protections for individually identifiable health information; establishes a set of basic consumer protections; institutes a series of regulatory permissions for uses and disclosures of protected health information; permits any person to file an administrative complaint for violations; and authorizes the imposition of civil or criminal penalties.
Date: April 24, 2003
Creator: Stevens, Gina Marie
Partner: UNT Libraries Government Documents Department

Computers, Health Records, and Citizen Rights

Description: Report issued by the Bureau of Standards over studies on the benefits of computerized record-keeping. Medical records were chosen for the studies, and they also focus on patient privacy and rights. This report includes tables, and illustrations.
Date: December 1976
Creator: Westin, Alan F.; Baker, Michael A.; Annas, George J.; Silberberg, Richard; Broder, Jamie; Isbell, Florence et al.
Partner: UNT Libraries Government Documents Department

Data acquisition instruments: Psychopharmacology

Description: This report contains the results of a Direct Assistance Project performed by Lockheed Martin Energy Systems, Inc., for Dr. K. O. Jobson. The purpose of the project was to perform preliminary analysis of the data acquisition instruments used in the field of psychiatry, with the goal of identifying commonalities of data and strategies for handling and using the data in the most advantageous fashion. Data acquisition instruments from 12 sources were provided by Dr. Jobson. Several commonalities were identified and a potentially useful data strategy is reported here. Analysis of the information collected for utility in performing diagnoses is recommended. In addition, further work is recommended to refine the commonalities into a directly useful computer systems structure.
Date: January 1, 1998
Creator: Hartley, D.S. III
Partner: UNT Libraries Government Documents Department

Designing Smart Health Care Technology into the Home of the Future

Description: The US health care industry is experiencing a substantial paradigm shift with regard to home care due to the convergence of several technology areas. Increasingly-capable telehealth systems and the internet are not only moving the point of care closer to the patient, but the patient can now assume a more active role in his or her own care. These technologies, coupled with (1) the migration of the health care industry to electronic patient records and (2) the emergence of a growing number of enabling health care technologies (e.g., novel biosensors, wearable devices, and intelligent software agents), demonstrate unprecedented potential for delivering highly automated, intelligent health care in the home. This editorial paper presents a vision for the implementation of intelligent health care technology in the home of the future, focusing on areas of research that have the highest potential payoff given targeted government funding over the next ten years. Here, intelligent health care technology means smart devices and systems that are aware of their context and can therefore assimilate information to support care decisions. A systems perspective is used to describe a framework under which devices can interact with one another in a plug-and-play manner. Within this infrastructure, traditionally passive sensors and devices will have read/write access to appropriate portions of an individual's electronic medical record. Through intelligent software agents, plug-and-play mechanisms, messaging standards, and user authentication tools, these smart home-based medical devices will be aware of their own capabilities, their relationship to the other devices in the home system, and the identity of the individual(s) from whom they acquire data. Information surety technology will be essential to maintain the confidentiality of patient-identifiable medical information and to protect the integrity of geographically dispersed electronic medical records with which each home-based system will interact.
Date: April 7, 1999
Creator: Warren, S.; Craft, R.L. & Bosma, J.T.
Partner: UNT Libraries Government Documents Department

Domain-independent information extraction in unstructured text

Description: Extracting information from unstructured text has become an important research area in recent years due to the large amount of text now electronically available. This status report describes the findings and work done during the second year of a two-year Laboratory Directed Research and Development Project. Building on the first-year`s work of identifying important entities, this report details techniques used to group words into semantic categories and to output templates containing selective document content. Using word profiles and category clustering derived during a training run, the time-consuming knowledge-building task can be avoided. Though the output still lacks in completeness when compared to systems with domain-specific knowledge bases, the results do look promising. The two approaches are compatible and could complement each other within the same system. Domain-independent approaches retain appeal as a system that adapts and learns will soon outpace a system with any amount of a priori knowledge.
Date: September 1, 1996
Creator: Irwin, N.H.
Partner: UNT Libraries Government Documents Department

The Effects of Different Confidentiality Conditions on Adolescent Minor Patients' Self-Report of Behavioral and Emotional Problems

Description: The primary purpose of the present study was to determine if information regarding potential parental or legal guardian access to mental health information would deleteriously impact male and female adolescent psychiatric patients' willingness to self-report personal problems and symptoms.
Date: May 1992
Creator: Drake, David Warren
Partner: UNT Libraries

EMBOS User Manual

Description: The Electronic Medical Business Operations System (EMBOS) is a state-of-the-art, web-based electronic medical records (EMR) system. It captures all patient data and the medical workflow, giving the medical provider a knowledge-based tool to support the health assessment process. EMBOS is a comprehensive system providing the following features: (1) Easy-to-use interface that reflects provider and support staff real-world workflows; (2) On-line patient questionnaires that enable pre-appointment updating of medical histories; (3) Patient scheduling and auto-scheduling of recurring exams with automated preappointment notifications and single-click patient registration; (4) Automated interfaces to lab devices and digital imaging systems; (5) Easy navigation to patient electronic health record summaries with drill-down functionality; (6) Support of psychological evaluation with results imported from standard psychological tools; (7) Real-time entry of clinical notes in easy-to-use exam forms; and (8) Roll-based function and data access, ensuring maximum security of patient health information.
Date: October 1, 2011
Creator: Metcalf, J. R.
Partner: UNT Libraries Government Documents Department

Ending the Document Game, Connecting and Transforming Your Healthcare Through Information Technology

Description: Report of the Commission on Systemic Interoperability proposes an information-connected healthcare system which would allow healthcare providers rapid access to individuals' medical information while still protecting consumers' privacy and supporting public health and homeland security.
Date: 2005
Creator: Commission on Systemic Interoperability
Partner: UNT Libraries Government Documents Department

Ethics in Technical Communication: Historical Context for the Human Radiation Experiments

Description: To illustrate the intersection of ethical language and ethical frameworks within technical communication, this dissertation analyzes the history and documentation of the human radiation experiments of the 1940s through the 1970s. Research propositions included clarifying the link between medical documentation and technical communication by reviewing the literature that links the two disciplines from the ancient period to the present; establishing an appropriate historiography for the human radiation experiments by providing a context of the military, political, medical, and rhetorical milieu of the 1940s to the 1970s; closely examining and analyzing actual human radiation experiment documentation, including proposals, letters, memos, and consent forms, looking for established rhetorical constructions that indicate a document adheres to or diverts from specific ethical frameworks; and suggesting the importance of the human radiation documents for studying ethics in technical communication. Close rhetorical analysis of the documents included with this project reveals consistent patterns of metadiscourse, passive and nominal writing styles, and other rhetorical constructions, including negative language, redundancies, hedges, and intensifiers, that could lead a reader to misunderstand the writer's original ethical purpose. Ultimately this project finds that technical communicators cannot classify language itself as ethical or unethical; the language is simply the framework with which the experimenters construct their arguments and communicate their work. Technical communicators can, however, consider the ethical nature of behavior according to specific ethical frameworks and determine whether language contributes to the behavior.
Access: This item is restricted to UNT Community Members. Login required if off-campus.
Date: August 2005
Creator: Audrain, Susan Connor
Partner: UNT Libraries

Evaluating parallel relational databases for medical data analysis.

Description: Hospitals have always generated and consumed large amounts of data concerning patients, treatment and outcomes. As computers and networks have permeated the hospital environment it has become feasible to collect and organize all of this data. This raises naturally the question of how to deal with the resulting mountain of information. In this report we detail a proof-of-concept test using two commercially available parallel database systems to analyze a set of real, de-identified medical records. We examine database scalability as data sizes increase as well as responsiveness under load from multiple users.
Date: March 1, 2012
Creator: Rintoul, Mark Daniel & Wilson, Andrew T.
Partner: UNT Libraries Government Documents Department

Experience with NQA-1 quality assurance standards applied to in vitro bioassay

Description: On June 1, 1990, the large (about 4000 samples per year) excreta bioassay program at the Hanford Site ceased abruptly when the contract with the bioassay laboratory was terminated. An intense, high-priority effort was begun to replace the services on an interim basis until a new contract could be procured. Despite the urgency to get the excreta bioassay program going again, the Hanford Internal Dosimetry Program was constrained to use only labs that could meet stringent quality assurance (QA) requirements, even during the interim period. The QA requirements were based on NQA-1 with selected additions from the Environmental Protection Agency's QAMS 005/80 (EPA 1983) and the American Society for Testing and Materials' C 1009-83 (ASTM 1984). This constraint was driven both by legal reasons and by the Hanford Site contractors and workers not wanting the quality of the data to be sacrificed. Finding labs that could (1) handle the large throughput, (2) meet the technical requirements, and (3) pass the QA audit proved more difficult than first anticipated. This presentation focuses on the QA requirements that the labs had to meet and how those very broad requirements were applied specifically to excreta bioassay. 5 refs.
Date: October 1, 1991
Creator: Bihl, D.E. & MacLellan, J.A.
Partner: UNT Libraries Government Documents Department

Final Technical Report on DOE Awards DE-FG03 94ER61918, DE-FG06 94ER61918 to Oregon Health Sciences University, September 15, 1994 - September 29, 1999

Description: This report describes the activities conducted with DOE funds at Oregon Health Sciences University between 9/15/94 and 9/29/99. The activities fall into four major categories: Information Technology, Information Services and Support, Medical Informatics and Outcomes Research, and collaboration with other institutions. The focus of these activities was to implement and maintain a regional healthcare information network.
Date: November 23, 1999
Creator: Krages, Kathryn Pyle
Partner: UNT Libraries Government Documents Department

The Health Information Technology for Economic and Clinical Health (HITECH) Act

Description: This report provides a summary and explanation of the provisions in the HITECH Act, which is intended to promote the widespread adoption of health information technology (HIT) for the electronic sharing of clinical data among hospitals, physicians, and other health care stakeholders. It gives an overview of prior actions taken by Congress and the Administrations to promote HIT, and briefly describes efforts by the 109th and 110th Congresses to enact comprehensive HIT legislation.
Date: February 23, 2009
Creator: Redhead, C. S.
Partner: UNT Libraries Government Documents Department

The importance of Java and CORBA in medicine

Description: One of the most powerful tools available for telemedicine is a multimedia medical record accessible over a wide area and simultaneously editable by multiple physicians. The ability to do this through an intuitive interface linking multiple distributed data repositories while maintaining full data integrity is a fundamental enabling technology in healthcare. The authors discuss the role of distributed object technology using Java and CORBA in providing this capability including an example of such a system (TeleMed) which can be accessed through the World Wide Web. Issues of security, scalability, data integrity, and usability are emphasized.
Date: July 1, 1997
Creator: Forslund, D.W. & Cook, J.L.
Partner: UNT Libraries Government Documents Department

Infrastructure support for Clinical Information Systems

Description: Executive Summary: For the past 5 years, Adventist Health has been implementing a clinical information system, titled Project IntelliCare, throughout its 19 hospitals. To successfully do this, a commitment was made to ensure continuous availability of vital patient health information to the local hospitals. This commitment required a centralized data center with sufficient capacity and a backup data center to be used in case of technical software or natural disaster where interruptions could occur. The DOE grant provided financial assistance to purchase equipment to increase the capacity of an existing data center, along with purchase of more sophisticated software for the data center thus providing a reduction in time that information is unavailable to the local hospitals when hardware or software problems occur. Relative to public good, this translates into increased safety and convenience for the patients we serve because their electronic medical records are current and available a higher percentage of the time.
Date: June 15, 2007
Creator: McGovern, Greg, A.
Partner: UNT Libraries Government Documents Department

Investigation of the radiological safety concerns and medical history of the late Joseph T. Harding, former employee of the Paducah Gaseous Diffusion Plant

Description: An ex-employee's claims that inadequate enforcement of radiation safety regulations allowed excess radiation exposure thereby causing his deteriorating health was not substantiated by a thorough investigation.
Date: March 1, 1981
Creator: Vallario, E.J. & Wolfe, H.R.
Partner: UNT Libraries Government Documents Department

Job-Related Stressors as Perceived by the Directors and Full-Time Faculty of Accredited Educational Programs in Medical Record Administration and Medical Record Technology in the United States and Their Strategies for Coping with Them

Description: The purpose of this study was to: (1) identify the sources of job-related stress which create excessive pressures for the directors and faculty of medical record administration and medical record technology programs; (2) identify the strategies that the directors and faculty of medical record administration and medical record technology programs find most helpful in coping with stress; (3) determine the relationship among demographic variables and job-related stressors as perceived by the directors and faculty of medical record administration and medical record technology programs; and (4) determine the difference among the means of five stress factors as perceived by the directors of medical record administration, faculty of medical record administration, directors of medical record technology and faculty of medical record technology programs. Questionnaires were mailed to 403 respondents. The response rate was 81.3%. Within the limitations of this study, the results revealed that "Having insufficient time to keep abreast of current developments in my field"was the highest stressor. The top stress coping strategy was "Social interaction." The relationship between demographic variables and five stress factors of reward and recognition, time constraint, departmental influence, professional identity and student interaction revealed a positive correlation between degree and professional identity factor, and a negative correlation between degree and student interaction factor. The results also indicated a positive correlation between type of program and the factors-time constraint, professional identity and student interaction; a positive correlation between academic rank and the factors--time constraint and student interaction; a positive correlation between teaching responsibilities and time constraint factor; and a positive correlation between marital status and professional identity factor. The directors and faculty of medical record administration perception of time constraint and professional identity factors differed from that of the directors and faculty of medical record technology programs.
Date: August 1993
Creator: Mozie, David Ikechukwu
Partner: UNT Libraries

Medical information and the right to privacy

Description: This report is a compilation of submitted abstracts of papers presented at the DOE-supported workshop on medical information and the right to privacy held at the National Academy of Sciences in Washington, DC, on June 9 and 10, 1994. The aim of this meeting is to provide a forum to discuss the legal, ethical and practical issues related to the computerization and use of medical data, as well as the potential impact the use of these data may have on an individual`s privacy. Topical areas include an overview of the Federal and legal requirements to collect medical data, historical experiences with worker screening programs, currently available medical surveillance technologies (both biomedical and computer technologies) and their limitations. In addition, an-depth assessment of the needs and interests of a wide spectrum of parties as they relate to the use of medical data from both a legal and privacy perspective is provided. The needs of the individual, the public (e.g., blood and tissue banks), private enterprises (e.g., industry and insurance carriers), and the government (e.g., FBI) are discussed. Finally, the practical and legal issues relating to the use of computers to carry, store and transmit this information are also examined. The abstracts are presented in the intended order of presentation as indicated in the agenda for the meeting.
Date: June 1, 1994
Creator: Drell, D.
Partner: UNT Libraries Government Documents Department

Medical Records Privacy: Access Needed for Health Research, but Oversight of Privacy Protections Is Limited

Description: A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the types of health research conducted outside the Common Rule and Federal Drug Administration (FDA) regulations, focusing on: (1) examining how medical information is used for research and the need for personally identifiable information; (2) identifying research that is and is not subject to current federal oversight requirements; (3) examining how institutional review boards (IRB) ensure the confidentiality of health information used in research; and (4) identifying the safeguards health care organizations have put in place to protect the confidentiality of health information used in research."
Date: February 24, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department

Medical Records Privacy: Uses and Oversight of Patient Information in Research

Description: Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the privacy of medical records used for health research, focusing on: (1) to what extent medical information used for research depends on personally identifiable information; (2) research that is and is not subject to current federal oversight requirements; (3) how the institutional review board (IRB) ensures the confidentiality of health information used in research; and (4) what steps organizations have taken to safeguard information."
Date: February 24, 1999
Creator: United States. General Accounting Office.
Partner: UNT Libraries Government Documents Department